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What Should I Consider Before Having DDD Breast Reduction?
We go through a careful process to make sure that our patients have as much information as they need to make an informed decision. As with any surgery one of the things to think about first is are there ways to achieve your goals without surgery. Things like weight loss (though this likely does not apply to you), physical therapy and supportive bras can make a difference in patient symptoms. Another thing to consider is child status. You've mentioned that you've had one child which you breast fed. There is a small chance that after breast reduction you will not be able to breast feed in the future. In addition, additional pregnancies or weight gain can undo some of the improvements obtained through breast reduction surgery. The next issue to deal with are the implications of the surgery itself. This includes: Scar - be sure to see pre and post-op examples of your surgeons work and be sure to understand the surgical options. Shape Change - breast reduction surgery usually includes a substantial breast lift. Have a clear discussion about the shape change. Consider potential complications, even the rare ones, including nipple numbness, nipple loss and asymmetry. Discuss your surgeon's rates of these complications and what to do if any of these occur. Finally, talk about your recovery. How much time will you need off of work? If you have young children you will likely need some help taking care of them for the first week or so. In our Bay area practice we take the time to review these issues with our patient. Make sure your surgeon does the same for you!
Clinical Context
Before deciding on a DDD reduction, it helps to know that surgeons look at both symptom relief and appearance goals, since the tissue removed to reduce back and shoulder pain may differ from what's needed for a specific cup size. Whether you're done having children and whether your weight is stable also matter, since future pregnancy or weight changes can affect long-term results. Your surgeon should walk you through how these factors influence the surgical plan for your body.
